RESOURCE DECISION MATRIX
ALL YEARS | PAGE 72A - ROLE TAXONOMY -> GAP DEFINITION -> SMALLEST EFFECTIVE STACK
A. RESOURCE-ROLE TAXONOMY - SOURCE MATRIX PRESERVED + EXPANDED
| Resource role | Examples from source | Best use | Stop rule |
|---|---|---|---|
| Structured curriculum | Boards & Beyond; Med School Bootcamp; OnlineMedEd | Build or rebuild an organized framework when the learner lacks structure. | Stop when the learner can retrieve the framework and transfer it into questions/cases. |
| Mechanism / pathology repair | Ninja Nerd; Pathoma | Repair deep physiology, pharmacology, disease mechanisms or pathology integration. | Time-box to the exact weak mechanism; confirm with new questions. |
| Memory encoding | Sketchy | Encode high-burden micro/pharm/path associations when memory, not reasoning, is the bottleneck. | Stop when delayed retrieval works without replaying the entire library. |
| Bedside / exam skill | Stanford Medicine 25; Strong Medicine | Pre-work and reinforce physical-exam technique and clinical reasoning. | Video does not replace supervised practice, observed performance or feedback. |
| Primary question practice | UWorld; TrueLearn COMLEX | Vignette-based learning, error discovery and exam transfer. | Deep review + delayed retest; avoid adding a second full bank without a defined gap. |
| Reference + targeted practice | AMBOSS | Rapid clarification, differential/management reference and targeted questions. | Answer the decision question, then exit; avoid reference rabbit holes. |
| Official calibration | NBME self-assessments / CSMS; COMSAE | Measure readiness, trend and content patterns in the relevant exam pathway. | Use as calibration, not as a replacement curriculum or a single-score oracle. |
1. RESOURCE ROLE MATTERS MORE THAN RESOURCE PRESTIGE
| DEEP EXPLANATION | WHY STUDENTS MISS IT | EASIEST CLUE |
|---|---|---|
| A resource is useful only when its instructional job matches the learner's current bottleneck: structure, mechanism, memory, bedside skill, question transfer, reference or calibration. | Popular resources feel universally useful, so learners subscribe before defining the problem they need solved. | State the gap in one sentence before choosing the tool. |
| 2. REDUNDANCY IS NOT THE SAME AS REINFORCEMENT | ||
| DEEP EXPLANATION Two full resources that teach the same material in the same way often create switching cost rather than | WHY STUDENTS MISS IT Repeated exposure feels productive and lowers anxiety, even | EASIEST CLUE If two resources have the same job, keep the one |
| stronger retrieval. Reinforcement is more valuable when the second activity changes the task - for example, content to questions or questions to bedside application. | when recall and transfer are not improving. | producing better measurable transfer. |
| 3. EVERY RESOURCE NEEDS A USE RULE AND A STOP RULE | ||
| DEEP EXPLANATION Define when the resource is opened, what output is expected and what evidence allows you to close it. | WHY STUDENTS MISS IT Completion metrics are seductive: finishing videos or chapters | EASIEST CLUE The resource should disappear when the gap closes. |
| Without stop rules, targeted supplements quietly become second curricula. 2026/27 resource-decision expanded edition - provider offerings can change; verify current official/provider scope before use | feels safer than leaving material incomplete. |